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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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SANDOVAL, HERNAN EMILIO       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: COMANCHE COUNTY MEMORIAL HSP
3201 WEST GORE BLVD
LAWTON OK 73505-0129

Address last updated on 12/11/2024
Phone #: (580) 250-5385
Fax #:
County: COMANCHE
License: 2350
Dated: 7/31/1995
Expires: 1/31/2026
Temp. Ltr. Issued: 10/27/1994
Temp. Ltr. Expires: 11/4/1995
License Type: Physical Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
COMANCHE COUNTY MEMORIAL HSP
3201 WEST GORE BLVD
LAWTON OK 73505-0129

Phone #: (580) 250-5385
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
STEPHEN PAUL BRITTON TA 1710
KELLY JEAN CARELOCK TA 2960
KAYLEE BROOKE DENTON TA 3695
ZACHARY ANDREW HIMES TA 3593
ROBIN RACHEL JOHNSON TA 546
AMANDA BROOKE KENNEDY TA 1749
KEVIN WAYNE KINNAIRD TA 2144
CHRISTY K LATULIP TA 1731
KELSEY ANN LEHR TA 2954
SHANE EDWIN LINAM TA 1307
ERICA LYNN OCHSNER TA 228
SHANNON MARIE PERKINS TA 2267
BRINKLEY TENAJ RAMOS TA 3452
BRIANA SLAUGHTER TA 3808
TIMOTHY ALLEN STEWART TA 2079
JEREMY JOSEPH SWANSON TA 1707

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